NPI 1407478456

Poudre Valley Medical Group, LLC

Organisation General Practice Physician Loveland, CO

Practice location

Address: 2500 Rocky Mountain Ave # M1921, Loveland, CO 80538-9004
Phone: (970) 624-1566
Fax: (970) 495-8316
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (970) 624-1566

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Registry record

NPI: 1407478456
Entity type: Organization
NPI issued: 13 May 2020
Record last updated: 22 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.